Neurological Physiotherapist
Specialist movement therapy for people living with neurological conditions
The basics
What is a neurological physiotherapist?
A neurological physiotherapist is a physiotherapist who specialises in helping people whose movement or function has been affected by a condition of the nervous system. They understand how the brain and spinal cord control movement, and how to help them relearn after injury or illness.
This is very different from a musculoskeletal physiotherapist, who focuses on muscles, joints, and bones. A neurological physiotherapist knows that after stroke, brain injury, or conditions like Parkinson's or MS, the nervous system itself needs retraining. They use evidence-based techniques like neuroplasticity principles to help your brain form new movement patterns.
Many neurological physios are trained in specialist approaches like LSVT BIG (for Parkinson's), constraint-induced movement therapy (after stroke), or task-specific training. They will have specialist qualifications and often work closely with neurology consultants and other specialists on your rehab team.
Who benefits
Who might benefit from seeing a neurological physiotherapist?
You don't need a formal diagnosis to see a neurological physiotherapist - if you've noticed changes in how you move, your balance, or your strength, they can help. They can also work alongside your neurologist or GP to figure out what's happening and what support you need. Physiotherapists work with people at all stages of life, including those living with dementia and children with neurological conditions.
What to expect
What happens in a session?
Initial Assessment
Your physiotherapist will listen to your story, understand what matters to you, and assess how your nervous system is affecting your movement. They may watch you walk, test your strength, balance, and coordination, and ask about your goals.
Goal-Setting
Together you'll agree on realistic, meaningful goals. This might be "walk to the kitchen unaided" or "get back to playing with my grandchildren," not just generic therapy targets. Your goals shape your whole programme.
Tailored Therapy
Your physio will use a mix of exercises, hands-on techniques, and task-specific training. They understand neuroplasticity - the brain's ability to rewire itself - and will challenge you in the right way to encourage learning and change.
Home Programme & Follow-Up
You'll get a home exercise programme to do between sessions. This is where most of the brain retraining happens. Your physio will review progress, adjust the programme, and celebrate the wins - big and small.
Finding support
How do I find a neurological physiotherapist?
In the UK, you can ask your GP or consultant for a referral to neurological physiotherapy on the NHS, or you can access some private physiotherapists directly. Because this is a specialist area, it's worth asking about their experience with your specific condition - not all physiotherapists specialise in neurology, and experience matters.
Use the My Rehab Journey directory to find neurological physiotherapists near you, filter by whether they work on the NHS or privately, and see their qualifications. Many will offer initial consultations, either in person or online, so you can find someone you feel comfortable working with.
Common Questions
Frequently asked questions
How do I access physiotherapy on the NHS?
Ask your GP for a referral, or speak to your hospital team or stroke service. They can refer directly. Waiting lists vary by area. Private physiotherapy is also widely available for quicker access.
How much does private physiotherapy cost?
Private physiotherapy in the UK typically costs £40-£100+ per session depending on location and experience. Some offer packages or reduce rates for regular sessions.
Do physiotherapists offer home visits?
Many do, especially for people who struggle with mobility or transport. Home visits help your physio see your environment and make practical recommendations. Ask when you book.
What's the difference between neurological and musculoskeletal physiotherapy?
A neurological physio specialises in retraining your nervous system after brain or spinal cord injury. A musculoskeletal physio focuses on muscles and joints. After neurological injury, you need neuro expertise.
How do I know if I'm seeing a neurological specialist?
Ask. Look for HCPC registration and ask specifically about their experience with neurological conditions like stroke, brain injury, or MS. Don't assume all physiotherapists have neuro training.
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