
Coming soon
Consultation
A full physiotherapy assessment, a clear explanation and a written plan.
- Treatment time
- Around 60 minutes
- Downtime
- None
- Price
- £120
About Consultation
Every course of treatment with Romulo starts here. The consultation is a full physiotherapy assessment: a detailed conversation about your pain or injury, followed by a physical examination of how you move, where the problem is coming from and what may be holding your recovery back.
You'll leave with a clear explanation of what Romulo thinks is going on, what he recommends, and a written plan with the number of sessions and costs, so you can decide in your own time. If treatment can start the same day, it will.

Key Benefits
- 01A full assessment by an HCPC registered physiotherapist
- 02A clear explanation of what is causing your symptoms
- 03A written treatment plan before you commit to anything
- 04Advice and first exercises to start straight away
- 05Referral back to your GP if anything needs a doctor's attention
Is this treatment right for me?
A consultation suits anyone with pain, stiffness or an injury affecting muscles, joints, tendons or the back, whether it started last week or years ago.
You may be suitable if…
- You have back, neck, shoulder, hip, knee or foot pain
- You have a sports or work injury that isn't settling
- You're recovering from surgery and want guided rehabilitation
- You've had pain for a long time and want a fresh assessment
Your consultation will consider…
- Your symptoms, how they started and what makes them better or worse
- Your medical history, medication and any previous treatment or scans
- Your work, activity level and goals
- Any signs that need a GP or specialist opinion first
What to expect
Before treatment
Your first appointment is a full physiotherapy assessment with Romulo. He'll ask about your symptoms, how and when they started, your medical history, your work and activities, and what you'd like to get back to doing. Bring any scans, letters or reports you have. Wear comfortable clothing that lets him see and move the area being treated.
During treatment
After talking through your history, Romulo examines the area: how it moves, your strength, posture and any tender structures. He then explains his findings, answers your questions and, where appropriate, begins treatment or gives you exercises to start at home.
After treatment
You'll receive a written summary of the plan Romulo recommends, including the number of sessions and costs. There is no pressure to book on the day.
Results & longevity
The consultation itself is about understanding the problem and agreeing a plan. How quickly things improve depends on the condition, how long you've had it and how consistently the plan is followed; Romulo will give you a realistic idea at the end of your assessment.
Recovery, side effects & aftercare
There is no downtime. Some people feel mildly sore after the examination if the area is irritable; this settles quickly.
Side effects
The examination can occasionally stir up symptoms for a day if the area is sensitive. Romulo will work within your comfort throughout.
Aftercare
Keep up the exercises and advice Romulo gives you; they matter as much as the treatment in clinic. Stay gently active rather than resting completely, unless he has told you otherwise, and note how your symptoms respond so you can discuss it at your next session.
Please contact the clinic if your pain becomes much worse after treatment, or if you have any concern. Seek urgent medical help (NHS 111, or 999 in an emergency) for new numbness around the groin or buttocks, new problems controlling your bladder or bowels, weakness in the legs, or chest pain.
- Downtime
- None for most people
- Redness
- Occasionally mild redness over the treated area, settling within hours
- Swelling
- Not expected
- Bruising
- Uncommon
- Normal activities
- Usually straight away; Romulo will tell you if anything should be avoided for a day or two
Frequently Asked Questions
How long is the consultation?
Allow around an hour. Romulo will confirm the length when you book.
What does it cost?
The physiotherapy consultation is £120. Any further treatment is priced in your written plan before you decide.
Do I need a GP referral?
No. You can book directly. If Romulo finds anything that needs a doctor's attention or a scan, he will tell you and explain the next step.
What should I wear?
Comfortable clothing that allows the area to be seen and moved, for example shorts for a knee or hip problem, or a vest top for a shoulder.
Can I claim on private medical insurance?
Some insurers cover treatment by an HCPC registered physiotherapist. Please check with your insurer before booking, as policies differ.
Will I have to buy a package?
No. Packages are never sold on the day of your first consultation. You'll get a written plan and can decide afterwards.
Your Practitioner

Romulo Costa
HCPC Registered Physiotherapist
Romulo is an HCPC registered physiotherapist with more than a decade's experience, from intensive care and rehabilitation to musculoskeletal medicine and long-standing pain. He trained in Brazil, where he ran his own rehabilitation clinic, before moving to Scotland and running his own clinic in Motherwell specialising in chronic pain and spinal problems. He starts by listening: to understand not just where it hurts, but what the pain has stopped you doing and why it hasn't settled. Every plan is built on a thorough assessment and explained clearly, with shockwave, laser and hands-on treatment used only where they have a clear purpose.