Spinal Treatment across Central London

Service

Spinal Treatment

Spinal conditions are among the most complex and life-limiting musculoskeletal problems a person can face. Pain that radiates, persists or keeps returning is rarely simple, and it rarely responds well to generic treatment.

At Mayfair Health, our Spinal Treatment service brings together the complementary expertise of specialist physiotherapists, spinal consultant doctors, osteopaths and clinical pilates specialists to deliver a thorough, integrated approach to spinal care. We assess the spine as a whole, considering structure, movement, nerve function, and the wider factors that influence pain, and build a treatment plan that is progressive and tailored entirely to you.

Whether you are in acute pain, managing a longstanding spinal condition, or recovering from spinal surgery, our team has the clinical depth to help you understand what is happening and more importantly, what we can do about it.

How we Help

Spinal Conditions We Treat

Disc Herniation / Slipped Disc

Assessment and conservative management of disc-related pain, including nerve compression, with a structured rehabilitation pathway to restore function and prevent recurrence.

Sciatica & Nerve Pain

Targeted treatment for sciatic nerve irritation and radiculopathy, addressing both the source of compression and the downstream effects on movement and daily life.

Post-Spinal Surgery Rehabilitation

Structured, progressive recovery programmes following procedures including discectomy, spinal fusion, and decompression surgery, guiding you safely back to full function.

Chronic Lower Back Pain

A thorough reassessment for patients who have been living with persistent back pain, combining hands-on treatment, movement rehabilitation, and pain education to break the cycle.

What Happens at Your Appointment

We know that booking a new healthcare appointment can feel daunting. Here is exactly what to expect when you come to Mayfair Health.

Your Initial Assessment

Your first appointment is a comprehensive 30-, 45- or 60-minute consultation. Your physiotherapist will take a detailed history of your condition to understand not just the injury itself, but how it is affecting your life, your work and your goals. A thorough physical assessment follows, examining posture, movement, strength, and function to build a complete clinical picture.

Your Diagnosis & Treatment Plan

By the end of your first session, you will have a clear diagnosis and a transparent, structured plan for your recovery. You will also receive expert guidance on what is happening and what we are going to do about it.

Hands-On Treatment

Depending on your condition, treatment may include:

  • Manual therapy and joint mobilisation
  • Soft tissue release and massage
  • Dry needling / acupuncture
  • Movement and postural correction
  • Tailored exercise prescription
  • Education and self-management strategies

Follow-Up Sessions

Follow-up appointments are structured around your progress. Your physiotherapist will adapt your programme as you improve, ensuring every session moves you meaningfully forward.

Accurate diagnosis from the outset

Spinal pain is frequently misunderstood and mistreated. Our detailed assessment process is designed to identify the true source of your symptoms, so treatment is targeted from day one rather than based on assumption.

Experience with Complex and Unresolved Cases

Not all injuries are straightforward, and not all previous treatment gets it right. Our physiotherapists have extensive experience managing complex musculoskeletal conditions and regularly see patients who have been through treatment elsewhere without the results they were hoping for.

Coordinated care when you need it most

Where your condition requires input beyond physiotherapy and osteopathy, such as spinal consultant review, imaging or injection therapy. We manage that referral pathway directly, so you are never left navigating the system alone.

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Google Reviews

Check out our Google Reviews and see how we’ve helped others

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Lamia Diani profile picture
Lamia Diani
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I have recently started one to one Pilates sessions with Gary, and I can’t recommend him highly enough. He is incredibly professional, knowledgeable, and genuinely attentive. He pays close attention to every detail and tailors each session to work around my injury, which has made a huge difference to my confidence and progress. I really appreciate the care and thought he puts into every session, and I always leave feeling stronger and more positive. If you’re looking for a fantastic Pilates instructor, Gary is the one to see.
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Ilaria Pefano profile picture
Ilaria Pefano
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I had a very positive experience with Adriana P. She is a knowledgeable and attentive instructor, with strong expertise in pregnancy Pilates. The exercises were always appropriate and well tailored, but what I appreciated most was her genuine care for how I was feeling, she constantly checked that I was comfortable and adapted each session to my needs on the day. She supported me with professionalism and reassurance throughout such a special time, making me feel safe and very well looked after!
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Sara profile picture
Sara
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I’ve been doing private Pilates sessions with Adriana for over a year and can genuinely recommend her. She is a fantastic Pilates teacher. She adapts each session to you, pays close attention to form, and corrects your form with clear and precise cues.
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Mira Goubran profile picture
Mira Goubran
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I love the place. Staff are very friendly and helpful. All pilates instructors are very professional. But special thanks to Adriana Papa. She helped me a lot in understanding and loving Pilates. It became part of my life style and also helped me with my back and neck pain. She listened carefully to my concerns, and helped me improve. And I actually recommend it to all my friends.
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Shelley Richardson profile picture
Shelley Richardson
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I am really impressed with Mayfair Health and the attention given to detail. My physio is looking after me first class.
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Sophie Trotzig profile picture
Sophie Trotzig
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Rachel Davies has helped me so much with my back and hips. A holistic way of working and putting together a programme that’s really helped me staying consistent and enjoyable at the same time. Couldn’t recommend her enough
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alessia tarantino
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I came in completely blocked at neck and upper back level. After just a few sessions Jack Musgrave worked wonders. Extremely skilled, knowledgeable, and attentive, with a really effective approach. On top of being highly professional, he also makes you feel comfortable and supported. Truly excellent – I couldn’t recommend more!
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Anabelle profile picture
Anabelle
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Amazing physio. Horrible coffee bar service. Ordered a drink for the first and last time. Patronising service.
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M profile picture
M
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I absolutely love this Pilates studio! The atmosphere is calm and clean The instructor Adriana is amazing.. she’s professional, patient, and really pays attention to every detail. I’ll definitely continue with them .. this place is my favorite now!
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Othman Alkassabi profile picture
Othman Alkassabi
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I tried their service in personal training physio, and Pilates. The trainers are so professional and cater for your personal needs This place is a must visit if you are in London and you want to be in good health
FAQs

Frequently Asked Questions

Do I need a GP referral to see a physiotherapist at Mayfair Health?

No. You can book directly with us without a GP referral. As a private clinic we welcome self-referrals and aim to offer new patient appointments quickly. If onward referral is clinically needed, we will manage that on your behalf.

We recommend having a longer, 60-minute consultation, giving your physiotherapist time to take a full history, complete a thorough physical examination, and begin treatment where appropriate. Follow-up sessions are structured around your individual needs and never rushed.

This varies depending on your condition, its severity, and how long it has been present. Some patients see significant improvement in 4-6 sessions; others with more complex or longstanding conditions benefit from a longer programme. We will always give you a clear and honest expectation from the outset.

Comfortable, loose-fitting clothing is recommended as your physiotherapist will need to assess your posture, movement, and the affected area. For lower limb conditions, shorts are ideal. For shoulder or neck conditions, a vest or loose top works well.

Yes. We regularly see patients who have had previous treatment without lasting results. Our physiotherapists are experienced in managing complex and unresolved cases, bringing fresh clinical perspective to identify what may have been missed. We have a strong track record of achieving progress where earlier treatment has not.

We treat a wide range of musculoskeletal conditions including back and neck pain, sports injuries, post-surgical rehabilitation, and joint and muscle pain affecting the shoulder, hip, knee, elbow, and wrist. If you are unsure whether physiotherapy is right for your condition, contact us and we will advise.

Treatment is tailored to your condition and may include manual therapy, joint mobilisation, soft tissue release, dry needling, targeted exercise prescription, and postural or movement re-education. Your physiotherapist will explain every element of your treatment and why it is being used.

Some techniques can cause mild discomfort during or after treatment, but this is normal and typically short-lived. Your physiotherapist will always work within your comfort levels and explain what to expect before any treatment is applied.

Yes. Physiotherapy plays an important role in the management of chronic pain, not just by addressing physical dysfunction but by improving movement confidence, breaking unhelpful pain patterns, and equipping you with the tools to self-manage effectively. Our approach looks at the whole picture, not just the area that hurts.

In most cases, yes. A tailored home exercise programme is a key part of your recovery and helps consolidate the progress made in clinic between sessions. Your physiotherapist will ensure exercises are appropriate for your level and clearly explained, and will progress them as you improve.

Yes. We provide structured rehabilitation programmes following a wide range of orthopaedic procedures including joint replacements, ligament reconstructions, and spinal surgery. We work closely with your surgical team where needed to ensure your recovery is safe, progressive, and on track.

We offer physiotherapy across three central London locations — Mayfair, Marylebone, and South Kensington. All three sites deliver the same standard of private, senior-led care. Book at the location most convenient for you.

Services

Other Services We Offer

Based in Mayfair, with further clinics in Marylebone, South Kensington and Liverpool Street, we offer you an excellent diagnostic ability to allow you the fastest route to recovery or optimising your health with our physiotherapy, movement, pilates, personal training, nutrition and medical screening.

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