
Coming soon
Physio-Led Massage
Firm, targeted massage from a physiotherapist.
- Treatment time
- 45 or 60 minutes
- Downtime
- None
About Physio-Led Massage
A deep tissue or sports massage given by a physiotherapist. Romulo uses firm, targeted techniques to ease muscle tension and tightness, guided by his understanding of anatomy and injury, and can advise on stretches and exercises to keep the benefit going.

Key Benefits
- 01Massage from an HCPC registered physiotherapist
- 02Firm, targeted work on tight or overworked muscles
- 03Useful around training or physically demanding work
- 04Advice on stretches and self-care
- 05Pressure adjusted to your comfort
Is this treatment right for me?
This suits people with muscle tightness or tension from sport, training, work or posture who'd like firmer, targeted massage.
You may be suitable if…
- You have tight or overworked muscles
- You train regularly or have a physically demanding job
- You'd like massage with a physiotherapist's eye
Your consultation will consider…
- Any injury, recent surgery or medical condition
- Blood clots, varicose veins or skin conditions in the area
- Pregnancy
- How firm you'd like the pressure
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
You'll be covered with towels so only the area being worked on is exposed. Romulo uses firm, focused techniques, checking the pressure with you as he works.
After treatment
Drink water and keep moving gently. You may feel pleasantly achy for a day after firm work.
Results & longevity
Many people feel looser and more comfortable straight away. Regular sessions alongside stretching tend to help most. Results vary from person to person.
Recovery, side effects & aftercare
There is no downtime. You may feel tender or achy for a day after deep work.
Side effects
Muscle tenderness for a day or so after firm massage is common. Bruising is uncommon.
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 firm is it?
Firmer than a relaxation massage, but always adjusted to your comfort.
How is it different from the massage treatments at the clinic?
It's given by a physiotherapist and focuses on muscle tightness linked to sport, work or posture. For relaxation massage, see the Massage section.
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.
How often should I have it?
It depends on your training and goals. Romulo will suggest a sensible frequency.
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.
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.