First visit
£68
60 minutes
A full hour with a chiropractor. History, examination, a clear explanation of what is wrong and, where it is safe, your first treatment the same day.
Chiropractic and spine clinic in Marlow Reach
Back, neck and joint pain, treated at the source.
Three clinicians, one calm clinic and a first visit that finds the cause before anything is treated. Most patients are back to normal within six visits.
4.9 from 640 Google reviews No GP referral needed
Next appointments
First visit, 60 min- Seen within 48 hours New patients get a first visit within two working days, early mornings and Saturdays included.
- Assessed before treated Every first visit starts with a full assessment. If we are not the right clinic for you, we say so and refer you on.
- No prepaid packages Pay per visit. A care plan is there if it saves you money, never a condition of treatment.
- Exercises you will do Two or three moves matched to your problem, sent to your phone after each visit.
Start with the problem
Where does it hurt?
Tap the area on the outline or pick it from the list. Each page explains what usually causes it, how we treat it and how many visits it tends to take.
- Neck pain Neck · 4–6 visits over five to six weeks
- Tension and neck headaches Head · 5–6 visits, then check-ups if needed
- Shoulder pain Shoulder · 4–8 visits alongside home exercises
- Upper back stiffness Upper back · 3–5 visits
- Lower back pain Lower back · 4–7 visits, then a rehab block
- Sciatica and hip pain Hip and buttock · 6–8 visits over two months
- Knee pain Knee · 4–6 visits and a rehab programme
- Pregnancy back and pelvic pain Pelvis · Every 2–4 weeks until birth, as needed
Six appointments, all priced up front
Every appointment is paid per visit at the clinic. No packages, no card on file, no surprises at reception.
Follow-up
£44
30 minutes
The working visit. We re-check what changed since last time, treat, and adjust your exercises so progress keeps coming between appointments.
Sports massage
£55
45 minutes
Deep, targeted muscle work for training loads, tight backs and shoulders that will not let go. Firm, not punishing, and always for a reason.
Pregnancy care
£48
30 minutes
Gentle, adapted care for lower back, pelvic and rib pain in pregnancy, from the first trimester to the weeks after birth.
Rehab session
£45
40 minutes
One-to-one coached exercise to rebuild strength after an injury or a bad episode of back pain, so it does not come back next winter.
Posture assessment
£58
45 minutes
For stiff necks and upper backs that come from long days at a screen. We look at how you sit, set up your desk from photos and treat what it has already done.
Since 2014
A clinic that tells you when you don’t need us
Ilse Varga opened Aplomb after years of watching patients sold twenty-visit packages before anyone had examined them. The rule here is simple: we assess first, we write down what it will take, and we discharge you as soon as you can manage on your own.
- patients treated since 2014
- 9,400
- visits, the median before discharge
- 6
- longest wait for a first visit
- 48h
- average from 640 Google reviews
- 4.9
How a course of care runs
Every plan follows the same four stages. What changes is how long each one takes, and we tell you that on day one.
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Assess
A full history and examination on your first visit. We find the source of the pain, not just the place it hurts.
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Settle
Early visits calm things down: adjustment, mobilisation and soft-tissue work, usually a week apart.
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Strengthen
As the pain drops, we add exercises that make the change stick, with a short video of each one sent to your phone.
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Discharge
You leave when you can manage on your own. Most patients are discharged within six visits and come back only if something flares.
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Most patients are discharged within six visits.
If you are not improving by the third, we change the plan or refer you on. You will never be asked to prepay for visits you might not need.
Book online
Pick a treatment, a clinician and a time
Free slots for the next two weeks. Send the request and we confirm by text within two working hours.
What does treatment cost?
Three ways to pay for chiropractic care. Most people start with a first visit and pay per visit after that.
| First visit £68 once | Follow-up £44 per visit | Best value for a full course Care plan of six £228 save £36 | |
|---|---|---|---|
| Best for | Anyone new, or back after a year | Patients part-way through a plan | A course of care you already know you need |
| Length | 60 minutes | 30 minutes | 6 × 30 minutes |
| Full assessment | Yes | Re-test of your key findings | Re-test at every visit |
| Treatment | Same day, where safe | Yes | Yes, every visit |
| Exercise videos | Two to start | Updated each visit | Updated each visit |
| Written plan and costs | Emailed the same day | Updated if the plan changes | Included |
| Insurance invoice | Yes | Yes | Yes, per visit |
| Unused visits | — | — | Refunded at the follow-up rate |
| Book a first visit | Book a follow-up | Ask about a care plan |
Care plans are valid for 4 months and are never required: most patients pay per visit. Sports massage, rehab and posture sessions are priced on their own pages.
Back to normal, in their own words
4.9 from 640 Google reviews. A few of them, tagged by the problem each patient came in with.
Neck pain
“Three years of a stiff neck by four o’clock every day. Five visits and two exercises later I get through a full week at the desk without thinking about it.”
Lower back pain
“Ilse told me on day one that my back did not need adjusting yet, it needed to calm down first. First clinic that ever said “not yet” to me. Right call.”
Knee pain
“Callum had me running again three weeks before my half marathon. The rehab sheet was four moves, not forty, so I actually did it.”
Pregnancy back pain
“Pelvic pain from week 24 made walking the dog miserable. Monthly visits until the birth kept it manageable, and nobody treated me like I was fragile.”
Shoulder pain
“Booked online at 10pm, seen at 7:30 the next morning. My shoulder had been catching for weeks and Nadia found the reason in about ten minutes.”
Headaches
“The headaches were a neck problem all along. I wish I had come two years and a lot of paracetamol earlier.”
Exercises and advice you can use tonight
Short routines and plain answers from the clinicians, written for patients rather than other chiropractors.
Exercise 4 min read
A five-minute desk routine for a stiff neck
Three movements you can do without leaving your chair, built for the four o'clock neck ache most desk workers know too well.
The routine: 3 moves · 5 minutes · twice a day
Published 28 August 2026
Advice 5 min read
There is no such thing as a slipped disc
What a disc actually is, what happens when one bulges, and why the words you use about your back change how fast it gets better.
The routine: 1 walk · 20 minutes · daily
Published 7 August 2026
Advice 3 min read
Three sleeping positions that ease sciatica
Night is often the worst part of sciatica. A pillow in the right place can buy you several more hours of sleep.
The routine: 1 pillow · 3 positions · tonight
Published 16 July 2026
Questions people ask on the phone
Do I need a GP referral?
No. You can book a first visit directly. If your assessment shows something that needs a GP or a scan first, we tell you on the day and write the referral letter for you.
Does an adjustment hurt?
Most people feel pressure and then relief. We explain what we are about to do before we do it, and every technique has a gentler alternative. Nothing happens that you have not agreed to.
How many visits will I need?
Most of our patients are discharged within six visits. You get an honest estimate at the end of the first visit, written down with the cost, and we check it against your progress every time.
Can I claim on my health insurance?
Yes, with most UK insurers. We are recognised by the major providers and send the invoice in the format they ask for. Check your policy covers chiropractic before your first visit.
What if I need to cancel?
Cancel or move an appointment for free up to 24 hours before. Inside 24 hours we charge half the fee, unless you are unwell, in which case we waive it.
Is chiropractic safe in pregnancy?
Yes, with the right adaptations. Ilse uses a pregnancy table and side-lying techniques from the first trimester onwards and never works on the bump. Tell your midwife you are coming to us.
Seen within 48 hours, or your first visit is on us.
Book online in under a minute or call 020 7946 0138. Early mornings from 07:30, evenings until 20:00 and Saturday mornings.