Shoulder Pain Treatment in Kensington, London
Expert care and tailored shoulder pain treatment for lasting relief and restored mobility.
Expert physiotherapy for shoulder pain – including causes that are often missed
Shoulder pain can make everyday tasks—lifting your arm, reaching, sleeping—difficult and uncomfortable.
While many people assume it’s a simple strain or injury, shoulder pain is often more complex than it seems.
As highlighted in national press, some of the most common causes of shoulder pain are frequently misdiagnosed or overlooked, meaning people can go months without the right treatment.
At The Physio Box in Kensington, we focus on identifying the true cause of your shoulder pain, so you can recover fully—not just manage symptoms.
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Why shoulder pain isn’t always what it seems
The shoulder doesn’t work in isolation.
It’s closely linked to the neck, upper back, and nervous system, which means:
- Pain can be referred from the neck, not the shoulder itself
- Different conditions can present with similar symptoms
- The underlying cause isn’t always obvious without a detailed assessment
We often see patients who’ve been treated for shoulder pain, when the real issue is coming from somewhere else.
Common causes of shoulder pain (including those often missed)
Shoulder pain can have a range of causes. Accurate diagnosis is key to effective treatment.Referred Pain from the Neck (Often Missed)
One of the most overlooked causes of shoulder pain.
- Pain felt in the shoulder or shoulder blade
- Tingling or numbness down the arm
- Symptoms not significantly changed by shoulder movement
This occurs when nerves in the neck become irritated or compressed.
Learn more on our Neck Pain Treatment page
Frozen Shoulder
A condition causing stiffness and restricted movement.
- Gradual onset of pain and stiffness
- Difficulty lifting or rotating the arm
- Feeling of the joint being “blocked”
More common between ages 40–60 and in women.
Rotator Cuff Injuries
The most common shoulder problem.
- Pain when lifting the arm (especially overhead)
- Weakness or reduced control
- Pain during reaching, pushing, or pulling
Often caused by overuse, poor movement patterns, or age-related changes.
Shoulder Impingement
When tendons are compressed during movement.
- Pain when raising the arm
- Discomfort when sleeping on the affected side
- Reduced range of motion
Muscle & Tendon Overload
Strain or irritation of surrounding tissues.
- Localised pain or tightness
- Linked to activity, posture, or repetitive movements
- Often combined with weakness or imbalance
Meet Our Team
Giuseppe Salustri
Clinical Director – Founder & Senior Consultant Physiotherapist
Giuseppe’s experience in professional rugby involved managing complex acute and chronic spinal traumas. This background informs his approach to assessing and treating severe spinal conditions and complex sport-related back injuries.
Enrico Garfield
Senior Consultant Physiotherapist
Enrico’s background includes work within the NHS and public healthcare systems in Italy, including dedicated spinal trauma units and high dependency units (HDU). He specialises in clinical diagnostic screening, combining targeted manual therapy, electrotherapies, and precise exercise prescription to calm nerve sensitivity and relieve severe muscle spasms.
Joan Del Arco
Senior Consultant Physiotherapist
Having worked extensively in professional sports, Joan uses dry needling/acupuncture, targeted manual therapy, and kinetic rehabilitation to help both acute and chronic patients recover from complex neck, upper back, and lower back pathologies.
Matylda
Consultant Associate Osteopath
Matylda brings dedicated osteopathic expertise, specialising in inter-regional body connections—such as how jaw tension (TMJ) directly influences neck and upper back pain. Her precise manual therapy skills focus on restoring micro-mobility across restricted spinal vertebrae affected by slipped discs, osteoarthritis, or past physical traumas.
Maria Chiara Formica
Senior Consultant Physiotherapist
Maria Chiara has extensive experience working with highly complex neurological and chronic pain cases. Specialising in spinal, neck, and jaw pain, she combines manual therapy, targeted electrotherapies, acupuncture, and neurological rehabilitation exercises to resolve long-standing, persistent spinal issues.
Reclaim Your Movement Freedom
Avoid waiting for minor lower back tightness to worsen into severe pain. Let our specialist clinical team in South Kensington evaluate your body mechanics and create a structured recovery plan.
How physiotherapy helps relieve shoulder pain
At The Physio Box, we focus on treating the root cause of your pain, not just managing the symptoms. We begin with a detailed assessment of both the shoulder and surrounding areas, including the neck, to ensure nothing is missed. From there, your treatment plan may include:
Shockwave Therapy & Electrotherapy
Used where appropriate to support healing in persistent or chronic conditions.
Shockwave Therapy & Electrotherapy
Used where appropriate to support healing in persistent or chronic conditions.
Movement & Activation Training
Improving how and when muscles activate, not just how strong they are. This is key for preventing recurring shoulder problems.
Postural & Movement Correction
Addressing daily habits that may be contributing to the problem.
Manual Therapy
Hands-on treatment to reduce pain and improve mobility.
Acupuncture & Dry Needling
To relieve muscle tension and support recovery.
When to See a Physiotherapist
If you experience persistent shoulder pain that affects your daily life, it’s time to seek
professional help. You should book an appointment if you notice:
Pain has lasted more than a few weeks
You struggle to lift or move your arm
It’s affecting sleep or daily activities
The pain keeps returning
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