Manual Therapy
30–45 minutes · from £90
Hands-on assessment and treatment of joints, muscle and connective tissue — soft tissue release, joint mobilisation and specific stretching, chosen from what the examination finds.
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Manual therapy & acupuncture · Central London
Thirty years of hands-on treatment for persistent pain, restricted movement and recurring injury — at Harley Street Physiotherapy, Marylebone.
The approach
A careful assessment looks beyond the painful area to understand why the problem keeps returning.
Pain rarely originates where it is felt. A shoulder that will not settle may be driven by the way the ribcage moves; a recurring low back problem may sit downstream of an old ankle injury. Assessment therefore begins with the whole person — history, work, training load, previous injuries and the way the body organises movement — rather than with the painful structure alone.
Treatment is hands-on and specific. Soft tissue work, joint mobilisation, acupuncture and dry needling are selected according to what the examination finds, and reviewed at every session. Where appropriate, treatment is supported by graded loading and simple, realistic home work so that progress holds between appointments.
Patients are seen individually, with unhurried appointments and continuity of care from the same practitioner throughout.
“The site of the pain and the source of the problem are often two different places. The work is in finding the difference.”
Everyday life
Running, training, long days at a desk, carrying children, cycling across London — the goal is always the return to the things that make up an ordinary week.


Conditions
Most people arrive with pain that has not settled on its own. If your problem is not listed, it is still worth a short conversation before booking.
Ask about your symptoms
A private practice in a Georgian townhouse on Harley Street, Marylebone.
Treatments
Every session combines assessment, hands-on treatment and simple work to do between appointments.
30–45 minutes · from £90
Hands-on assessment and treatment of joints, muscle and connective tissue — soft tissue release, joint mobilisation and specific stretching, chosen from what the examination finds.
Book this treatment40 minutes · from £95
Practised since 2007, used for musculoskeletal pain and the patterns that accompany it — sleep disturbance, tension and pain that has become persistent beyond the original injury.
Book this treatment30 minutes · from £90
A precise technique for trigger points and locally tight muscle — often the fastest route into muscle too irritable or too deep to treat effectively by hand.
Book this treatment
Experience
Daniel qualified in manual therapy in 1994 and has worked continuously in private practice since. He added acupuncture to his practice in 2007 after formal training, and now combines both within a single, coherent treatment approach.
Over three decades he has treated office workers, dancers, musicians, distance runners and post-operative patients — a range that has shaped a practical, unhurried style of assessment and a strong preference for explaining what is happening in plain language.
In patients’ words
After years of recurring back pain I finally felt properly assessed. Daniel explained what was happening and why, and the treatment addressed far more than the painful area itself.
The practice
Opening hours
Harley Street, Marylebone W1G
Appointments are booked directly with the practice. If you are unsure whether treatment is appropriate, a brief phone conversation beforehand is welcome.