Specialist neurological physiotherapy for people living with neurological conditions.

Neurological conditions can affect people physically, cognitively, emotionally and behaviourally. We know the impact it can have on patients and their loved ones.

We provide comprehensive, holistic and evidence based assessments and rehabilitation programmes tailored towards your hopes and goals.

Neurological conditions we assess and treat include:

• Ataxia

• Bell’s Palsy and facial weakness 

• Brain Injury

• Brain Tumours

• Cerebral Palsy (adults)

• Functional Neurological Symptoms

• General mobility problems

• Guillain-Barre Syndrome

• Head Injury

• Huntington’s Disease

• Immobility following hospital admission

• Long Covid

• Motor Neurone Disease

• Multiple Sclerosis

• Muscular Dystrophy

• Neuromuscular Conditions and Neuropathies

• Parkinson's Disease

• Spinal Cord Injury

• Stroke

• Transverse Myelitis​

Shoulder pain is very common after stroke and other neurological conditions. Research shows it can negatively affect engagement in rehabiltation, daily activities, sleep and can reduce quality of life.

We are experts in the differential diagnosis and management of hemiplegic and neurological shoulder pain.

We work with neurologists, stroke physicians and GPs to give you the best possible treatment.

Our expertise include:

• Recognising your shoulder pain

• Advanced assessments and establishing the cause of your shoulder pain

• Recommendation for any required imaging including Xray, Ultrasound and MRI

• Recommendations for oral and topical pain relief

• Recommendation for injection therapies to help pain and movement including steroid, hydrodilatation and bot

• Physiotherapy treatment programmes including positioning, stretching, strengthening, orthoses and electrical stimulation

Spasticity is increased muscle stiffness and involuntary muscle activity caused by damage to the brain or spinal cord. It is a common consequence of stroke, MS, traumatic brain injury and other neurological conditions. When not adequately managed, spasticity can lead to permanent muscle and joint contractures, chronic pain, and significant difficulties with daily activities, mobility and personal care.

Effective spasticity management requires specialist assessment to identify the contributing factors and a tailored treatment plan. We provide advanced practitioner level assessment and rehabilitation, working collaboratively with neurologists, neurorehabilitation consultants and GPs. Where appropriate we make recommendations on medical management including oral medications and botulinum toxin injections, working alongside prescribing clinicians to ensure coordinated care.

Independent specialist second opinion consultations for patients and clinicians including:

• Dizziness, vertigo and balance disorders

• Vestibular rehabilitation

• Neurological assessment and rehabilitation

• Hemiplegic and neurological shoulder pain

• Spasticity management

Available in clinic, via home visit and online. A written report can be provided following second opinion consultation.

We welcomes enquiries from both patients seeking clarity on their diagnosis or management, and from clinicians seeking a specialist peer review of a complex case.

Dan brings a rare combination of specialist clinical expertise and academic experience to his teaching and CPD work. Within the NHS at Guy's and St Thomas', he leads on educational development within the Community Stroke and Neurorehabilitation Service, holds clinical lead roles in dizziness, vertigo and balance disorders and hemiplegic and neurological shoulder pain, and works as an advanced practitioner alongside neurologists and neurorehabilitation consultants in spasticity management.

Dan has completed master's level training in Advanced Clinical Assessment, Critical Thinking and Diagnostic Reasoning, a qualification that underpins a uniquely rigorous approach to clinical assessment and reasoning.

He is a Visiting Lecturer at City St George's University of London, where he teaches neurosciences on the Advanced Clinical Assessment, Critical Thinking and Diagnostic Reasoning module. At London Metropolitan University he lectures on vertigo, dizziness and balance disorders, vestibular rehabilitation, neurosciences and neurological rehabilitation.

Dan is available for bespoke lectures, course development and CPD collaboration. Specialist CPD courses in Dizziness, Vertigo and Balance Disorders, Advanced Neurological Assessment, Diagnosis and Management of Hemiplegic Shoulder Pain are currently in development.

Please get in touch to discuss your requirements.